DR. SHOHREH MOAZAMI IV M.D.
NPI 1639179146
Pediatrics in Battle Creek, MI

Q: What is Shohreh Moazami's NPI number?

The NPI number for Shohreh Moazami is 1639179146. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Q: What is Shohreh Moazami's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Shohreh Moazami was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 26, 2005

2545 CAPITAL AVE SW, SUITE 201, BATTLE CREEK, MI 49015(269) 969-8723(269) 969-8724 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Shohreh Moazami Iv M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHOHREH MOAZAMI IV M.D. (NPI 1639179146) is an individual pediatrics provider in Battle Creek, Michigan, licensed in Michigan (4301062801) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1639179146

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. SHOHREH MOAZAMI IVCredential: M.D.

Location Address2545 CAPITAL AVE SW, SUITE 201Battle Creek, MI 49015-7120

Mailing Address2545 Capital Ave Sw, Suite 201Battle Creek, MI 49015-7120 · (269) 969-8723 · Fax (269) 969-8724

Phone(269) 969-8723

Fax(269) 969-8724

Sole ProprietorYes

Enumeration DateJuly 26, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1639179146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · 4301062801

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2545 CAPITAL AVE SW, Battle Creek, MI 49015

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Other Identifiers 6

Other12-31350MI · United Health Care

Other3501310791MI · Blue Cross Blue Sheild

Other147687MI · Great Lakes Health Plan

Other5922108MI · Aetna

Other00994MI · Health Plan Of Michigan

Medicare UPINF96885MI

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CEREAL CITY PEDIATRICS

Pediatrics

2545 CAPITAL AVE SW
BATTLE CREEK, MI 49015

Calhoun County (269) 969-8723

BATTLE CREEK FAMILY CARE

Family Medicine

2545 CAPITAL AVE SW, STE 201
BATTLE CREEK, MI 49015

Calhoun County (269) 224-6190

DR. DAVID HARLEY LONG D.D.S.

Dentist (General Practice)

2545 CAPITAL AVE SW
BATTLE CREEK, MI 49015

Calhoun County (269) 968-4366

MRS. LISA DARLENE LEHMAN PA-C

Physician Assistant (Medical)

2545 CAPITAL AVE SW
BATTLE CREEK, MI 49015

Calhoun County (269) 969-8723

EVAN GIBSON BAITY ELLIOTT

Physical Therapist

2545 CAPITAL AVE SW
BATTLE CREEK, MI 49015

Calhoun County (266) 979-3000

MR. LARRY K KEEFER PNP

Nurse Practitioner (Pediatrics)

2545 CAPITAL AVE SW
BATTLE CREEK, MI 49015

Calhoun County (269) 969-8723

MRS. DANIELLE MARIE EVERETT RN

Registered Nurse (Case Management)

2545 CAPITAL AVE SW
BATTLE CREEK, MI 49015

Calhoun County (269) 969-8723

MRS. AMY LYNN GOFF LPN

Licensed Practical Nurse

2545 CAPITAL AVE SW
BATTLE CREEK, MI 49015

Calhoun County (269) 969-8723

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shohreh Moazami's NPI number?

The NPI number for Shohreh Moazami is 1639179146. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Shohreh Moazami located?

Shohreh Moazami practices at 2545 Capital Ave SW Suite 201, Battle Creek, MI 49015. The listed phone number is (269) 969-8723.

What is Shohreh Moazami's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Shohreh Moazami was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.